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Site of Left Axillary Vein Crossing the Clavicle: an Analysis with Computed Tomography Venography as a Guide for Vein Puncture for Device Implantation by Jie Gao; Yang Zhou; Sen Lei; ChunChang Qin is a Medicine article available to read on EtoBox.

What is Site of Left Axillary Vein Crossing the Clavicle: an Analysis with Computed Tomography Venography as a Guide for Vein Puncture for Device Implantation about?

Background Blind axillary venous access is a convenient but technically difficult approach for cardiac rhythm device lead implantation. We try to explore whether there are rules on the axillary vein course to facilitate blind venous cannulation. Methods In a single-center, retrospective study, we included 155 patients who underwent computed tomography venography (CTV) examination of left axillary vein. All scans were reviewed for the relationship between left axillary vein and clavicle, vein steepness, and depth. Factors probably affecting above indicators were analyzed. ## Results The location of left axillary vein crossing the clavicle was mainly concentrated around the medial 1/3 of clavicle, with mean crossing location of the medial 1/3 of clavicle, which was not correlated with sex, age, abdominal subcutaneous fat thickness, upper thoracic kyphosis angle, or the angle between clavicle and anterior midline (P < 0.05). The average angle between axillary vein and horizontal line was 31.57 ± 11.72°, which was positively associated with age, whereas inversely associated with the angle between clavicle and anterior midline (P < 0.05). The proximal axillary vein ran more and more sha

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Author

Jie Gao; Yang Zhou; Sen Lei; ChunChang Qin

Publisher

Springer Science and Business Media LLC

Published

2023

Language

EN

Field

Medicine (Health Sciences)